HEALTH PROMOTION AND DISEASE PREVENTION RESEARCH CENTER

中心申请说明（由研究者提供）：匹兹堡大学健康老龄化研究中心（CHA）自2001年10月以来一直由CDC预防研究中心（PRC）项目资助。我们建议继续并加强CHA，重点是在社区内促进健康老龄化。CHA是为了满足阿勒格尼县和宾夕法尼亚州西南部周边地区老年人的需求而开发的，它强调全人预防策略（认识多种风险和多种情况）和10个关键风险因素，这些因素对预防高度流行的慢性疾病有强有力的证据基础（健康老龄化的“10个关键”）。以证据为基础的“10个关键”是：控制收缩压；低密度脂蛋白胆固醇；调节葡萄糖;戒烟;定期进行免疫接种；参与癌症普查；预防骨质流失及肌肉无力；增加身体活动；保持社会联系；和对抗抑郁。我们的“10个钥匙”（tm）计划认证社区中的人们为健康大使。大使深入社区，向他们的家人、教会、社会/民间组织和公共活动宣传“十匙”。这个项目将在社区中继续进行。目前，我们还与关节炎基金会合作开展了一项新的核心研究项目，名为“改善有关节炎残疾风险的老年人的活动能力和预防性服务的使用”。我们正在将健康老龄化项目的“10个关键”（tm）与关节炎基金会（AF）运动项目相结合。将对这两个程序进行比较，单独的“10键”（tm）与联合AF练习和“10键”（tm）程序。目标人群包括：患有慢性频繁膝关节疼痛，但尚未诊断为膝关节OA；超重或肥胖的；60岁以上。我们将招募志愿者，并在现有可用的地点（CHA的健康大使计划和关节炎运动地点）协同开展该计划。CHA将在未来5年继续利用其委员会、健康老龄化联盟（社区咨询委员会）、大使委员会和专业委员会来指导中心的方向。

DESCRIPTION FOR CENTER APPLICATION (provided by the investigator): The Center for Healthy Aging (CHA) at the University of Pittsburgh has been funded by the CDC Prevention Research Centers (PRC) Program since October 2001. We propose to continue and enhance CHA focusing on promoting healthy aging within communities. CHA was developed to meet the needs of older people in Allegheny County and the surrounding regions of southwestern Pennsylvania (PA) by stressing whole person prevention strategies (recognizing multiple risks and multiple conditions) and ten key risk factors that have a strong evidence base for the prevention of highly prevalent chronic disease (the "10 Keys"(tm) to Healthy Aging). The evidenced-based "10 Keys"(tm) are: Control Systolic Blood Pressure; Lower LDL Cholesterol; Regulate Glucose; Stop Smoking; Get Regular Immunizations; Participate in Cancer Screenings; Prevent Bone Loss and Muscle Weakness; Increase Physical Activity; Maintain Social Contact; and Combat Depression. Our "10 Keys" (tm) Program certifies people in the community as Health Ambassadors. The Ambassadors reach out to the community speaking to their families, churches, social/civic organizations and public events about the "10 Keys"(tm). This program will continue in the community. We are also currently furthering our outreach by partnering with the Arthritis Foundation on a new core research program entitled: "Improving mobility and preventive service use in older adults at risk for arthritis disability"- We are combining the "10 Keys"(tm) to Healthy Aging Program with the Arthritis Foundation (AF) Exercise Program. The two programs will be compared, the "10 keys"(tm) alone vs. a combined AF exercise and "10 Keys"(tm) program. The target population includes: having chronic frequent knee pain, but not yet diagnosed with knee OA; overweight or obese; and age over 60. We will recruit volunteers and conduct the program collaboratively at existing sites that are available (CHA's Health Ambassador Program & Arthritis Exercise Sites). The CHA will continue utilizing its Boards, the Healthy Aging Coalition (Community Advisory Board), the Ambassador Board, and the Professional Board for the Centers direction in the next 5 years.